EYEGLASS EXPRESS
NPI 1639163967
Optometrist in Mishawaka, IN

NPI Status: Active since September 01, 2005

Contact Information

5415 N MAIN ST
MISHAWAKA, IN
ZIP 46545
Phone: (574) 271-7228

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  • Organization
  • Optometrist

About EYEGLASS EXPRESS

This page provides the complete NPI Profile along with additional information for Eyeglass Express, a provider established in Mishawaka, Indiana operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1639163967 assigned on September 2005. The practitioner's primary taxonomy code is 152W00000X with license number 18003372A (IN). The provider is registered as an organization and their NPI record was last updated 18 years ago. Eyeglass Express operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Kris Robert Schrage (President)

NPI
1639163967
Provider Name
EYEGLASS EXPRESS
Entity Type
Organization
Location Address
5415 N MAIN ST MISHAWAKA, IN 46545
Location Phone
(574) 271-7228
Mailing Address
5415 N MAIN ST MISHAWAKA, IN 46545
Mailing Phone
(574) 271-7228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2005
Last Update Date
10-18-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
18003372A
License State
IN
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

18003372B (IN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KRIS ROBERT SCHRAGE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(574) 271-7228

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639163967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669266912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 6 + 6 + 9 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639163967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326217456MR. DANIEL S STANTON
Individual
Optometrist5415 N MAIN ST
MISHAWAKA, IN 46545
(574) 271-2020
1235599473 ANTHONY WILLIAM GISH OD
Individual
Optometrist5415 N MAIN ST
MISHAWAKA, IN 46545
(574) 271-2020
1386114502INDIANA PHYSICIANS EYECARE GROUP, P.C.
Organization
Optometrist5415 N MAIN ST
MISHAWAKA, IN 46545
(574) 271-2020
1528438017VISION VALUE, LLC
Organization
Eyewear Supplier5415 N MAIN ST
MISHAWAKA, IN 46545
(574) 271-2020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639163967, enumerated in the NPI registry as an "organization" on September 01, 2005

The provider is located at 5415 N Main St Mishawaka, In 46545 and the phone number is (574) 271-7228

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on September 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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